| Abdominal Hysterectomy | $32,270$2.3k$66k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,311$4.0k$54k | — | — |
| Allergy Skin Testing | $47$5$93 | — | — |
| Basic Metabolic Panel | $35$8$263 | $293 | $293 |
| Bone Marrow Biopsy | $5,084$1.9k$36k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,694$419$36k | — | — |
| Bunion Correction Surgery | $8,168$2.1k$49k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,242$1.3k$65k | — | — |
| Cardiac Catheterization (Left Heart) | $11,470$780$51k | — | — |
| Cardiac Stress Test (Treadmill) | $672$99$10k | — | — |
| Carpal Tunnel Release Surgery | $5,599$2.8k$36k | — | — |
| Cataract Surgery with Lens Implant | $4,806$2.3k$36k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,500$3.6k$49k | — | — |
| Cesarean Delivery (Global Package) | $8,168$2.3k$36k | — | — |
| Chemotherapy Infusion (First Hour) | $569$143$1.0k | — | — |
| Chest X-ray (2 Views) | $436$164$1.2k | $1,366 | $1,366 |
| Colonoscopy with Biopsy | $3,365$2.2k$36k | — | — |
| Complete Abdominal Ultrasound | $1,334$245$3.3k | $3,631 | $3,631 |
| Complete Blood Count (CBC) with Differential | $8$7$150 | — | — |
| Comprehensive Metabolic Panel | $24$6$1.4k | $788 | $788 |
| Coronary Angioplasty with Stent | $17,765$675$65k | — | — |
| Critical Care, First Hour | $4,957$240$11k | $10,321 | $10,321 |
| CT Abdomen and Pelvis with Contrast | $10,712$828$21k | $22,608 | $22,608 |
| CT Cardiac Calcium Scoring | $1,863$102$9.7k | — | — |
| CT Chest without Contrast | $4,448$245$8.8k | $9,387 | $9,387 |
| CT Head without Contrast | $5,054$245$10k | $10,667 | $10,667 |
| DEXA Bone Density Scan | $205$198$245 | — | — |
| Diagnostic Colonoscopy | $3,328$1.2k$36k | — | — |
| Diagnostic Mammogram (Both Breasts) | $127$95$818 | $909 | $909 |
| Ear Tube Placement (Tympanostomy) | $4,694$2.3k$36k | — | — |
| Echocardiogram (Complete with Doppler) | $1,596$135$10k | $3,686 | $3,686 |
| EKG (Electrocardiogram, 12-lead) | $186$11$10k | — | — |
| Emergency Room Visit (Level 3) | $2,692$70$11k | $5,384 | $5,384 |
| Group Therapy Session | $122$30$223 | — | — |
| Hemodialysis Treatment | $226$81$4.1k | — | — |
| Hemoglobin A1c (Diabetes Test) | $27$9$146 | $124 | $124 |
| HIV Antibody Test | $9$1$236 | $134 | $134 |
| Holter Monitor (24-48 Hour Heart Monitor) | $325$54$10k | — | — |
| Home Sleep Study | $1,158$130$1.6k | — | — |
| Individual Therapy Session (45 Minutes) | $153$89$223 | — | — |
| Inguinal Hernia Repair (Open) | $11,738$4.0k$49k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $185$134$242 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $164$150$179 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,095$316$2.4k | $2,632 | $2,632 |
| IUD Insertion | $5,675$41$36k | — | — |
| IUD Removal | $4,036$1.4k$36k | — | — |
| Knee Arthroscopy with Meniscectomy | $11,858$2.8k$54k | — | — |
| Laparoscopic Appendectomy | $16,840$4.0k$54k | — | — |
| Laparoscopic Gallbladder Removal | $17,355$221$49k | — | — |
| Laparoscopic Tubal Ligation | $14,081$4.0k$54k | — | — |
| Lipid Panel (Cholesterol Test) | $24$6$1.3k | $756 | $756 |
| Lumbar Epidural Steroid Injection | $3,702$1.9k$36k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,487$834$36k | — | — |
| Lumbar Spinal Fusion (Posterior) | $19,500$4.0k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $14,857$3.9k$49k | — | — |
| MRI Abdomen with and without Contrast | $3,910$828$8.0k | $8,845 | $8,845 |
| MRI Brain with and without Contrast | $3,438$828$8.0k | $8,845 | $8,845 |
| MRI Brain with Contrast | $3,110$828$8.0k | $8,845 | $8,845 |
| MRI Brain without Contrast | $3,110$518$6.5k | $7,197 | $7,197 |
| MRI Cervical Spine (Neck) without Contrast | $3,110$518$6.5k | $7,197 | $7,197 |
| MRI Knee without Contrast | $3,508$518$6.5k | $7,197 | $7,197 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,110$518$6.5k | $7,197 | $7,197 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,110$518$6.5k | $7,197 | $7,197 |
| Newborn Circumcision | $5,944$2.3k$36k | — | — |
| Nuclear Cardiac Stress Test | $7,124$2.8k$21k | $23,745 | $23,745 |
| Office Visit, Established Patient (Level 3) | $92$55$133 | — | — |
| Office Visit, New Patient (Level 3) | $162$82$250 | — | — |
| Pacemaker Insertion (Dual Chamber) | $21,190$2.3k$49k | — | — |
| PET/CT Scan, Whole Body | $4,033$1.9k$6.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,170$245$3.4k | $3,773 | $3,773 |
| Prostate Biopsy | $4,430$2.8k$4.7k | — | — |
| PSA Prostate Cancer Screening | $31$17$236 | $262 | $262 |
| Pulmonary Function Test with Bronchodilator | $247$47$468 | — | — |
| Rotator Cuff Repair (Arthroscopic) | $12,311$3.5k$54k | — | — |
| Screening Mammogram | $100$67$500 | $556 | $556 |
| Septoplasty (Deviated Septum Repair) | $8,168$507$49k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,858$420$54k | — | — |
| Skin Biopsy (Tangential) | $3,131$1.2k$36k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,694$1.2k$36k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,576$493$5.3k | — | — |
| Spinal Cord Stimulator Trial | $12,121$2.0k$54k | — | — |
| Spirometry (Breathing Test) | $100$28$180 | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $13,679$2.3k$49k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $13,679$2.3k$49k | — | — |
| Total Hip Replacement | $20,498$995$49k | — | — |
| Total Knee Replacement | $20,336$2.3k$49k | — | — |
| Total Mastectomy | $14,857$3.9k$49k | — | — |
| TSH Thyroid Function Test | $164$15$1.3k | $1,436 | $1,436 |
| TURP (Transurethral Prostate Resection) | $12,121$3.0k$54k | — | — |
| Umbilical Hernia Repair | $6,228$3.4k$8.1k | — | — |
| Upper GI Endoscopy (EGD) | $3,328$1.7k$36k | — | — |
| Urinalysis with Microscopy | $99$3$741 | $823 | $823 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $8,168$2.3k$36k | — | — |
| Vaginal Delivery (Global Package) | $8,168$2.3k$36k | — | — |
| Vaginal Hysterectomy | $13,226$4.0k$49k | — | — |
| Vasectomy | $5,944$2.3k$36k | — | — |
| Vitamin D Blood Test | $36$27$205 | $228 | $228 |